Provides funding to expand clinical training at accredited addiction medicine fellowship (AMF) and addiction psychiatry fellowship (APF) programs. Seeks to increase the number of physicians and psychiatrists working in underserved, community-based settings that integrate primary care with mental health and substance use disorder (SUD) prevention and treatment services. Seeks to improve access to addiction prevention, treatment, and recovery services for patients in rural and underserved areas.

Funds telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and residents in rural areas. Emphasizes telecommunication projects that address substance use disorders (SUDs), including opioid misuse.

Provides funding to address immediate and short-term needs for substance use disorder (SUD) services in rural communities. Aims to establish or expand SUD prevention, harm reduction, treatment, and recovery services, with the goal of reducing and preventing overdoses in rural areas.

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or enhanced evidence-informed, evidence-based community-based projects that deliver preventive clinical and public health services to the target population. Program focus areas include increasing behavioral health screenings and referrals for children.

Provides funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become mental health workers, peer support specialists, and other behavioral health paraprofessionals. Promotes collaboration with community-based health partners to meet workforce demand in high need and high demand areas and expand access to quality behavioral health services, including services for the treatment of substance use disorder (SUD). Promotes interdisciplinary collaboration through team-based care and emphasizes training oriented toward the behavioral health needs of children, adolescents, and transitional-aged youth.

Supports the planning, development, operation, and participation in accredited postdoctoral training programs for general dentistry, pediatric dentistry, and dental public health. Seeks to improve health outcomes by providing low-income, underserved, underrepresented minority, rural, and other disadvantaged populations with increased access to oral health services.

Funds to support tribal law enforcement agencies in developing and/or enhancing the skills and abilities needed to address unmet public safety needs in tribal communities. Includes implementing or enhancing prevention strategies, improving criminal investigations, crime control activities, community policing strategies, and efforts to reduce illicit drug use, including methamphetamine and opioid use. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds to support strategic planning and development to improve tribal justice systems, public safety, and community wellness. Supports strategies to address violent crime, murder of Indigenous people, domestic violence, substance misuse, substance use disorder (SUD), overdose, drug-related crime, and human trafficking. Offers training, technical assistance, and other supports to assist communities and law enforcement with planning and processes to proactively address conditions and issues that lead to crime, social disorder, and fear of crime. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds to develop new or expand existing youth healing to wellness courts to enhance the capacity of tribal courts to respond to the alcohol and substance use related issues of youth. Helps tribal youth involved with the justice system to access substance use disorder (SUD) treatment, maintain recovery, and reduce the risk of re-offending. Funds may support planning activities, court operations, workforce development, training, data collection, and the implementation of new programs and services. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Provides funding to accredited organizations to enhance primary care residency training programs in street medicine. Seeks to expand access to primary care and behavioral health services outside of traditional clinical settings to people experiencing homelessness by increasing the number of primary care physicians prepared to practice street medicine. Training programs located in rural areas are a priority.

Works to prepare and encourage physicians to practice healthcare in rural communities. Provides start-up funding for the planning and development of sustainable programs to train residents in rural residency programs in family medicine, internal medicine, preventive medicine, psychiatry, general surgery, and obstetrics and gynecology.

Offers grant funding to enhance behavioral health workforce capacity within the Northern Border Regional Commission's service area. Utilizes a network-based approach to provide training and job placement for behavioral health professionals in rural communities.

Awards formula funding through a governor-appointed State or Territory Service Commission to single state programs that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Focuses service projects on six areas: disaster services, economic opportunity, education, veterans and military families, environmental stewardship, and healthy futures. Includes service projects related to substance misuse. Supports evidence-based or evidence-informed interventions, practices, and program models.

Offers funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become behavioral health professionals. Works with community-based health partners to meet workforce demand in high need and high demand areas with the goal of expanding access to quality behavioral health services, including services for the treatment of substance use disorders (SUDs). Supports interprofessional team-based care, integration of behavioral with primary care, and recruitment of diverse workforce. Special emphasis is placed on training focused on the behavioral health needs of children, adolescents, and young adults.

Offers grants to rural or rural-serving organizations to evaluate, develop, and expand technology-enabled collaborative learning and capacity building models, with the goal of improving workforce retention and increasing access to healthcare, especially specialty care, in rural, frontier, and tribal areas and other underserved communities. Aims to support healthcare providers through distance health education models focused on chronic diseases, infectious diseases, mental health, substance use disorders (SUDs), prenatal and maternal health, pediatric care, pain management, palliative care, and other specialty care.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for underserved populations experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services.

Helps American Indian and Alaska Native (AI/AN) tribal communities build and strengthen a comprehensive response to the opioid epidemic by providing prevention, harm reduction, treatment, and community-based recovery support services to AI/AN individuals with, or at risk for, opioid use disorder (OUD), including stimulant use disorder. Identifies and addresses gaps in services and systems of care for OUD in tribal communities, and coordinates with other federally supported opioid response efforts to increase access to innovative and culturally responsive services for people with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD).

Supports new and existing training programs for paraprofessionals in behavioral health fields in order to improve services for families whose parents are impacted by opioid use disorder (OUD) or other substance use disorders (SUD). Seeks to increase the number of paraprofessionals in behavioral health working in high-need and high-demand areas to reduce the risk of mental health disorders and SUD among children.

Supports efforts to improve access to integrated and coordinated treatment and recovery services for substance use disorder (SUD), including opioid use disorder (OUD), in rural areas to address the SUD/OUD crisis in rural areas and promote long-term, sustained recovery.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to remain in their community while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering naloxone and other Food and Drug Administration approved drugs or devices for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment recovery, harm reduction, and other psychosocial support services, and provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

Provides substance use disorder (SUD) education to health profession students early in their academic careers, with the goal of increasing the number of professionals trained to identify, assess, intervene, and treat addiction; support recovery; and address stigma. Supports health profession programs in integrating SUD content into academic curricula and promotes the integration of behavioral and physical healthcare systems using a multidisciplinary team approach. Gives preference to programs that place students in SUD programs serving rural and underserved areas.

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Awards funding to establish clinical rotations for physician assistant (PA) students in rural areas. Supports the development of rotations of at least 3 months that integrate primary care and behavioral health services, with the goal of increasing the number of PAs who choose to practice in rural areas after graduation and are trained to prevent, identify, diagnose, treat, and refer services for behavioral health conditions, including the provision of medications for opioid use disorder (MOUD). Offers financial assistance to trainees during rotations in a rural primary care setting.

Supports efforts to address the opioid crisis in American Indian and Alaska Native (AI/AN) communities through locally designed prevention, treatment, recovery, and aftercare services for mental health and substance use disorder (SUD). Aims to raise awareness and education of opioid interventions that are family-centered and culturally appropriate, create comprehensive community opioid support teams, and increase the use of medication-assisted treatment (MAT)/medications for opioid use disorder (MOUD) to meet treatment needs and reduce opioid overdose in AI/AN communities. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

Offers funding to state and local health departments to work with HIV clinical providers in developing approaches that utilize culturally competent community health worker (CHW) services to conduct outreach and re-engage people with HIV in care who are living in rural areas. Services include connecting individuals to mental health and substance use disorder (SUD) services, and other supports necessary to help participants enter, re-engage, and remain in HIV care and treatment.

Provides funding to organizations to engage AmeriCorps members to build public health capacity in local communities by serving in state, local, tribal, and territorial public health departments. Aims to meet local public health needs and advance equitable outcomes for underserved communities. Activities may include mental health education and awareness, social service navigation, and crisis response for opioids, suicide, and mental health.

Offers flexible block grant funding to states, territories and freely associated states, and one tribe to design and implement activities and services to address the complex needs of individuals, families, and communities affected by substance use disorder (SUD). Funds can be used to establish statewide programs and services or to make sub-awards to local organizations to provide SUD services in their region. All activities and services must address core SUBG program purposes. Supports SUD treatment, programs, and services for the following populations and services areas: pregnant women, women with dependent children, IV drug users, tuberculosis services, HIV/AIDS early intervention services, and primary prevention services.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Expands access at the community level to naloxone and other medications approved by the Food and Drug Administration (FDA) for emergency treatment of opioid overdose by establishing best practices for prescribing overdose reversal drugs. Provides training and resources to prescribers and providers and ensures protocols are in place to connect people who have experienced overdose to appropriate follow-up care and substance use treatment, including medications for opioid use disorder (MOUD) and behavioral therapies. Focuses on specific urban and rural populations to address the needs and expand workforce capacity in communities highly impacted by overdose and reduce overdose deaths.

Funding to plan, develop, and operate a 12 month full-time, or 24 month half-time, training program for nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and/or social workers focused on training practitioners to provide mental health and substance use disorder (SUD), including opioid use disorder (OUD), services. Seeks to expand the workforce trained to provide care for individuals in need of mental health and SUD/OUD prevention, treatment, and recovery services in an integrated primary care underserved community-based setting.

Funds demonstration projects in states to improve the quality of emergency medical services (EMS) for children. Seeks innovative models and methods to strengthen EMS systems. Seeks to improve health outcomes and attain equitable access to pediatric emergency care and everyday readiness for all children across the nation, especially for those children living in racial or ethnic minority, tribal, and rural communities.

Supports American Indian and Alaska Native (AI/AN) youth in successfully transitioning back into the community after completing treatment at an Indian Health Services (IHS) Youth Regional Treatment Center (YRTC). Provides culturally adapted aftercare and case management services focused on whole-person wellness and community engagement to help youth achieve and sustain safety and sobriety, with an emphasis on employability as a means of achieving program goals. YRTC is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Offers funding for predoctoral training programs in general, pediatric, or public health dentistry for dental, dental hygiene, and public health dentistry students. Aims to enhance trainees' ability to provide oral healthcare for populations and individuals with medically complex health conditions, special healthcare, and behavioral healthcare needs in vulnerable, underserved, or rural communities. Focuses on training that integrates oral health within primary care and promotes patient-centered approaches that address the impact of social determinants of health on oral health outcomes.

Supports community-driven efforts to deliver evidence-based, culturally appropriate substance use prevention, treatment, and aftercare services for American Indian and Alaska Native (AI/AN) communities. Works to expand access to behavioral health services; improve care coordination and cross-system collaboration; and engage family, youth, and community resources to reduce substance use disorder (SUD) and overall substance misuse in tribal communities. SASP is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds for states to develop and implement programs to address the oral health workforce needs in Dental Health Professional Shortage Areas (HPSAs), including those in rural communities. Supports new ideas, methods, and/or approaches to increase access to oral health services. Allows states to design programs to address opioid use disorder (OUD) by improving pain management practices, treatments, and recovery support services. Helps states become better prepared for future public health emergencies by evaluating and responding to the impact of COVID-19 on oral health workforce.

Provides funding for the creation of employment and training programs in high demand rural healthcare occupations, including behavioral and mental healthcare. Seeks to address rural health workforce shortages by increasing the number of individuals training in occupations that directly impact the care of rural populations. Assists unemployed, underemployed, and incumbent workers to transition into sustainable health careers that qualify as middle or high-skilled occupations under the H-1B visa program. Focuses on training for veterans, military spouses, transitioning service members, women, people of color, ex-offenders, people with disabilities, and other underrepresented rural populations.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Aims to increase the number of primary care physicians capable and willing to provide care to rural and/or underserved communities by funding accredited residency training program improvements in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics. Works to reduce healthcare expenses, improve care quality, and increase access to healthcare by preparing and encouraging residency graduates to serve in rural and/or underserved areas.

Provides funding to strengthen experiential training for behavioral health paraprofessional students focused on prevention, treatment, and recovery services for substance use disorder (SUD), including opioid use disorder (OUD). Emphasizes training that addresses the specific challenges of children, adolescents, and transitional-age youth at risk for behavioral health disorders. Seeks to expand access to quality SUD/OUD treatment and services in high need, high demand areas by increasing the number of qualified behavioral health paraprofessionals working in community-based settings.

Funds to expand community-based training for the treatment of opioid use disorder (OUD) and substance use disorder (SUD), especially among affected rural youth, for students pursuing advanced degrees in behavioral health.